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CRYOTEC Hands-on Workshop Reservation Form
Thank you very much for interest in our Hands-on workshop. We hope you can enjoy the workshop.
Please take a moment to fill out this short survey and let us know when you can participate our workshop.
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Email
*
Your email
Which day and time are available for you to participate our Hands-on Workshop? *Please select as much as possible, we will inform you by email once your time is reserved.
December 3rd
December 4th
9:00-10:30
11:00-12:30
13:00-14:30
15:00-16:30
December 3rd
December 4th
9:00-10:30
11:00-12:30
13:00-14:30
15:00-16:30
Your name
*
Your answer
Your cellular phone number *We use this information when you can't arrive at our booth on time of Hands-on Workshop
*
Your answer
Name of your organization
*
Your answer
Occupation
*
Your answer
Title/Position
Your answer
Your organization's Frozen Embryo Transfer(FET) annual cycles (numbers only)
*
Your answer
What brands are you currently using for Cryopreservation at your organization? (check all that apply)
*
Cryotop(Kitazato)
Cryotec(Cryotech)
Cryolock
Cooper Surgical
Irvine Scientific
Life Global
Origio
Sage
Vitrolife
Other brand
Method
Solutions
Straws
Plates
Cryotop(Kitazato)
Cryotec(Cryotech)
Cryolock
Cooper Surgical
Irvine Scientific
Life Global
Origio
Sage
Vitrolife
Other brand
Method
Solutions
Straws
Plates
How many years of experience do you have as an embryologist? (numbers only)
*
Your answer
Your country
*
Your answer
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